General Surgery - Volvulus (Twisting of the Colon)
If volvulus is found, the doctor may use the sigmoidoscope to untwist the colon. However, if the colon is twisted tightly or if the blood flow has been cut off, immediate surgery will be needed. Surgery involves restoring the blood supply, if possible, to the affected part of the sigmoid colon.
WSES consensus guidelines on sigmoid volvulus management
2023年5月15日 · The World Society of Emergency Surgery united a worldwide group of international experts to review the current evidence and propose a consensus guidelines on the management of sigmoid volvulus. Sigmoid volvulus is a common surgical emergency, especially in elderly patients.
Sigmoid Volvulus - StatPearls - NCBI Bookshelf
2023年5月28日 · The surgery of choice is a sigmoid colectomy with either a primary anastomosis or an end colostomy, depending on findings during the surgery and the individual patients’ physiological reserves. A patient presenting with bowel perforation will require aggressive resuscitation and an immediate laparotomy to control the fecal contamination and ...
Sigmoid volvulus: definitive surgery is safe and should be …
Given the relatively low complication rate of definitive surgery, even in those patients perceived to be high risk, we contend that all patients should be considered for early surgery to prevent the likely recurrence of sigmoid volvulus.
Volvulus - StatPearls - NCBI Bookshelf - National Center for ...
Mortality rates appear to be much higher for cecal volvulus than sigmoid volvulus. When volvulus is treated non-surgically, recurrence rates are very high, approaching 40% to 60%. When surgery is done in unstable patients, mortality rates of 12% to 25% have been reported.
Although volvulus can occur in any redundant colonic seg-ment, it most commonly involves the sigmoid (60%–75% of all cases) and cecum (25%–40% of all cases).6–8 Sigmoid volvulus preferentially affects older men in the United States and westernized countries, although younger men are more commonly affected in the volvulus belt.6 In the
Sigmoid volvulus: outcomes of treatment and predictors of …
In patients presenting with SV without peritonitis or colonic gangrene, the recommended treatment is the endoscopic detorsion in the acute setting, with subsequent elective surgery due to the high recurrence (43–75%) and mortality rates (15–40%) associated with conservative treatment alone [6 …
WSES consensus guidelines on sigmoid volvulus management
2023年5月15日 · Sigmoid volvulus is a common surgical emergency, especially in elderly patients. Patients can present with a wide range of clinical states: from asymptomatic, to frank peritonitis secondary to colonic perforation. These patients generally need urgent treatment, be it endoscopic decompression of the colon or an upfront colectomy.
Sigmoid and Cecal Volvulus Treatment & Management - Medscape
2024年8月2日 · Inability to detorse the sigmoid volvulus endoscopically is an indication for immediate surgical intervention. If the patient has evidence of peritonitis or ischemic bowel, emergency surgery...
Volvulus - Clinical Features - Investigations - TeachMeSurgery
2023年6月2日 · Emergency surgery is required for patients with a sigmoid volvulus in those with any evidence of bowel ischaemia or perforation (or in those with repeat failed endoscopic decompression).